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Norepinephrine transporter and Dopamine transporter (NET (for norepinephrine transporter), DAT (for dopamine transporter))

Target
NET (for norepinephrine transporter), DAT (for dopamine transporter)
Molecular classification
Transporter, Neurotransmitter:sodium symporter family (NSS), Integral membrane protein
01

Overview

The norepinephrine transporter (NET) and dopamine transporter (DAT) are closely related members of the neurotransmitter:sodium symporter family, functioning as integral membrane proteins that regulate the reuptake of norepinephrine and dopamine, respectively, from the synaptic cleft into presynaptic neurons. NET (gene: SLC6A2) and DAT (gene: SLC6A3) both have twelve transmembrane domains and are essential for terminating neurotransmitter signaling and maintaining homeostasis in the central nervous system. Both are established targets for approved psychiatric and neurological drugs, as well as drugs of abuse. While structurally homologous, they differ in substrate specificity and brain distribution. Both are considered key therapeutic targets in neuropsychiatric and neurodegenerative conditions, as well as in the context of addiction pharmacotherapy.

Other names
Norepinephrine transporter: NETNoradrenaline transporterSLC6A2Dopamine transporter: DATSLC6A3
02

Mechanism of action

Inhibition of norepinephrine or dopamine reuptake, increasing synaptic concentrations of these neurotransmitters. Competitive inhibition at the transporter (e.g., TCAs, atomoxetine, bupropion block NET/DAT). Substrate competition (e.g., amphetamines induce reverse transport, causing efflux of neurotransmitter).

03

Biological functions

Reuptake of neurotransmitters (norepinephrine or dopamine) from the synaptic cleft into presynaptic neuronsRegulation of norepinephrine and dopamine levels in the central and peripheral nervous systemTermination of neurotransmitter signalingMaintenance of neurotransmitter homeostasis
04

Disease associations

Neuropsychiatric disorders (e.g., depression, ADHD, schizophrenia)Neurodegenerative disease (e.g., Parkinson's disease, Alzheimer's disease)Substance use disorders/addictionCardiovascular disease
05

Safety considerations

Risk of abuse, addiction (particularly for DAT inhibitors or substrates)Cardiovascular effects (e.g., hypertension, tachycardia, arrhythmia with NET inhibition)Risk of stimulant-induced psychosis or mania (especially with nonselective blockade)Orthostatic hypotension (particularly with NET inhibitors or malfunction)Drug–drug interactions and serotonin syndrome (with overlapping selectivity for SERT/NET/DAT)
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Interacting drugs

atomoxetine

14 more in the full profile.

07

Biomarkers

NET or DAT PET ligands (for imaging transporter density or occupancy in disorders)Changes in extracellular levels of dopamine or norepinephrine measured by microdialysis/metabolite ratiosGenetic variants (e.g., SLC6A2, SLC6A3 polymorphisms) in pharmacogenomic studies

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